Healthcare Provider Details

I. General information

NPI: 1497555353
Provider Name (Legal Business Name): BETHANY NJOKU FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8215 S WALKER AVE
OKLAHOMA CITY OK
73139-9451
US

IV. Provider business mailing address

8215 S WALKER AVE
OKLAHOMA CITY OK
73139-9451
US

V. Phone/Fax

Practice location:
  • Phone: 405-631-5120
  • Fax:
Mailing address:
  • Phone: 405-631-5120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number221250
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: